Name :Ryan Eleno Valles

City Address: *** E. Vermont ave, Mcallen Texas 78503

Mobile Number:956-***-****

Email Address:advj65@r.postjobfree.com

PERSONAL DATA

Date of Birth :June 14 1980

Nationality :Filipino

Languages :English

Religion :Christian

Marital Status :Married

EDUCATION

Year Graduated :2003-2007

Course Title/Degree :Bachelor of science in Nursing

Name of School :Our lady of Fatima university

Year Graduated :1992-1996

Course Title/Degree :High School (Secondary level)

Name of School : Immanuel Lutheran high school

Year Graduated :1986-1992

Course Title/Degree :Elementary level

Name of School :St. Gabriel academy

License:

USRN lic: 1059057 Texas – valid: 06/30/2024

Employment History

CURRENT EMPLOYMENT

Jan 23, 2023 to present

Position: Medical / Surgical Telemetry

Name of Hospital or Company: Mcallen medical center STHS

Employer Address: 301 West Expy # 83, Mcallen, TX 78503

Duties and Responsibilities:

Studying patients' medical history, test results, and treatment plans.

Tracking routine heart rate, blood pressure, and pulse oximetry measurements.

Monitoring, interpreting, and recording data from specialized medical technologies and equipment.

Administering medication and performing treatment interventions in consultation with healthcare specialists.

Maintaining and updating ward charts, patient files, and medical records.

Instructing Telemetry Unit staff on patient care and treatment plans.

Collaborating with healthcare specialists and reporting changes and deteriorating conditions.

Explaining tests results and procedures to patients and their families, as well as answering questions.

Advising patients on post-hospital care, including prescribed medicine, home care protocols, disease prevention, and lifestyle changes.

PREVIOUS EMPLOYMENTS

Dec. 2019 to Nov 23, 2022

Position: UM Clinical Nurse Reviewer – Inpatient stay and Outpatient (med/sug) review. (pe service, post service)

Name of Hospital or Company: Legato Health Technologies Philippines

Employer Address: 9th flr. World Commerce Place Tower 2, Taguig

Duties and Responsibilities:

Adheres to the client defined adjudication rules for UM Nurse Reviewer level of review

Responsible for ensuring the accuracy of member eligibility verification, member benefit verification, and network utilization to ensure accurate authorization adjudication.

Able to accurately navigate the client-based UM platform and accurately enter authorization request data

Effectively prepares authorization request for next level of review; to include, appropriate request of additional information, pre-certification verification, clinical recommendation, and accurate network utilization

Consistently meets or exceeds departmental productivity standards, quality standards, and IRR.

Compliant with turnaround timeframes for authorization adjudication and provider notification.

Ensures appropriate escalation of concerns; to include, but not limited to, Contracting issues (LOA, MOU) or Quality/Access concerns.

Appropriately identifies criteria used for clinical decision making.

Accurately and timely generation of denial or modification communication based on next level review outcomes, when applicable

Able to serve as a resource for UM Coordinators and Medical Director, when applicable

Able to perform focused provider reviews based on identified over or under utilization of services when directed.

Able to provide data in an actionable manner upon completion of focused provider reviews.

Responsible for clinical reviews for the Emergency Department to ensure appropriate clinical criteria supports an inpatient admission, when applicable.

Responsible for coordinating with hospitalists and medical directors based on client business rules to ensure appropriate admission criteria, continued stay criteria, and level of care.

Ensures timely discharge planning to safe and appropriate level of care

Responsible for exchange of information and enrollment in the transition of care program, when applicable

Responsible for adherence to the policies and procedures for the Nurse Exchange Line; to include, but not limited to, answering and managing inbound call queue from members, providers, vendors, or facilities; accurate documentation of telephonic interventions; appropriate referral to primary provider, community resources, and/or case management; timely follow-up calls for case closure, when applicable

Adheres to Desktop Procedures and UM Policies and Procedures

April 2019 to Nov 2019

8 months

Position: UM Clinical Nurse Reviewer – Inpatient stay and Outpatient (med/sug) retro review.

Name of Hospital or Company: EXL

Employer Address: One E-com, pasig city

Duties and Responsibilities:

Adheres to the client defined adjudication rules for UM Nurse Reviewer level of review

Responsible for ensuring the accuracy of member eligibility verification, member benefit verification, and network utilization to ensure accurate authorization adjudication.

Able to accurately navigate the client-based UM platform and accurately enter authorization request data

Effectively prepares authorization request for next level of review; to include, appropriate request of additional information, pre-certification verification, clinical recommendation, and accurate network utilization

Consistently meets or exceeds departmental productivity standards, quality standards, and IRR.

Compliant with turnaround timeframes for authorization adjudication and provider notification.

Ensures appropriate escalation of concerns; to include, but not limited to, Contracting issues (LOA, MOU) or Quality/Access concerns.

Appropriately identifies criteria used for clinical decision making.

Accurately and timely generation of denial or modification communication based on next level review outcomes, when applicable

Able to serve as a resource for UM Coordinators and Medical Director, when applicable

Able to perform focused provider reviews based on identified over or under utilization of services when directed.

Able to provide data in an actionable manner upon completion of focused provider reviews.

Responsible for clinical reviews for the Emergency Department to ensure appropriate clinical criteria supports an inpatient admission, when applicable.

Responsible for coordinating with hospitalists and medical directors based on client business rules to ensure appropriate admission criteria, continued stay criteria, and level of care.

Ensures timely discharge planning to safe and appropriate level of care

Responsible for exchange of information and enrollment in the transition of care program, when applicable

Responsible for adherence to the policies and procedures for the Nurse Exchange Line; to include, but not limited to, answering and managing inbound call queue from members, providers, vendors, or facilities; accurate documentation of telephonic interventions; appropriate referral to primary provider, community resources, and/or case management; timely follow-up calls for case closure, when applicable

Adheres to Desktop Procedures and UM Policies and Procedures

October 15 2018- to March 2019

Almost 5 months

Position: E.R. Staff Nurse / Rotated to M-S WARD for 1 month

Name of Hospital: Chinese General Hospital and Medical Centre

Employers address: 286 Blumentritt Rd, Santa Cruz, Manila, 1014 Metro Manila

Hospital Profile: Tertiary Hospital

Number of Hospital Beds: 592

Unit name: E.R.

Type of patients: Urgent/Emergent

Hours worked per week: 48 HRS

Duties and Responsibilities:

Collaborated with various ER professionals to ensure effective patient care.

Applied expertise in prompt patient condition assessment on patient arrival at the ER during initial phases of acute illness or trauma.

Monitored ER patients, including alerting physicians or charge nurses to changes in patient status, communicating with patients and their family members in a variety of traumatic situations.

Performed medical procedures, such as EKG, venipuncture, cardiac monitoring, taking vital signs, urinalysis, UCG testing, or administering medications.

Equipment Used:

AED/Defibrilators

Monitors

Suction machine(Walled/portable)

Dec 2014-May 2015

5 months

Position: Ambulance Nurse / Remote Area Nurse / EMT(E.M.S.)

Name of Hospital or Company: Via Medica International

Employer Address: Abu dhabi, UAE

Duties and Responsibilities:

Perform direct illness/injury assessment, provide basic care/Advance care in emergency pre-hospital patient care to the ill and injured prior to and during ambulance transfer, and transfer of information to receiving facility as required.

Maintain operational and functional readiness of ambulance unit, clinic, medical and other equipment, to ensure continuum of emergency medical services.

Fullfill the Occupational Safety and Health role at site.

Essential Duties:

• Deliver basic and Advance emergency and non-emergency pre-hospital care to clients, and to ensure prompt and efficient transfer of emergency (injured or ill), and non-emergency patients to/from a medical facility.

• Monitor Occupational health performance. And provide monthly report to HSE manager in regards in occupational health and safety, risk and health assessment of the crew.

• Conduct First Aid, Basic life support training(CPR) and Health issue discussion. (heat stroke, cardiac arrest ect.)

• Participate Actively in safety programs, particularly with regards to promoting health and safety issues.

• Respond to Emergency calls, use appropriate radio skills, read maps, drive the ambulance safely to and from the scene of injury or illness, using the most expeditious route, with the goal to locate the patient /s in the shortest response time possible

• Conduct scene size-up and an initial assessment, determine nature and extent of illness or injury, perform physical assessment, acquire a detailed history, establish priority for required emergency (or non-emergency) care, and render appropriate basic care, based on nature, and condition of the patient, in accordance with specified protocol and procedure within clinical scope

• Follow established departmental policies, procedures and objectives, continuous quality improvement objectives, and safety environmental, and/or infection control standards in the performance of duties

• Review and restock all medical equipment to ensure their completeness and operational readiness at all times, in consultation and collaboration with Supervisor, and in compliance with safety and infection control regulations and standards.

• Fully document, and transfer, patient care information and records as per established procedures; complete all checklists and verify them with the supervisor, and report all vehicle and equipment defects, damages, and losses, for immediate action, maintenance, or replacement, as necessary

• Participate in continuing medical education and in-service courses for personal growth and development, and for on-going improvement in knowledge and competence.

• Perform other duties as required.

Dec 2010 – Dec 2014

4 years

Position: Ambulance Nurse / Remote Area Nurse / EMT(E.M.S.) / Rig Medic

Name of Hospital or Company: National ambulance LLC

Employer Address: Abu dhabi city UAE

Duties and Responsibilities

Perform direct illness/injury assessment, provide basic/advance care in emergency pre-hospital patient care to the ill and injured prior to and during ambulance transfer, HEMS transfer, and transfer of information to receiving facility as required.

Maintain operational and functional readiness of ambulance, clinic, medical and other equipment, to ensure continuum of emergency medical services.

Fullfill the Occupational Safety and Health role on the Rig site

Essential Duties:

• Deliver basic and Advance emergency and non-emergency pre-hospital care to clients, and to ensure prompt and efficient transfer of emergency (injured or ill), and non-emergency patients to/from a medical facility.

• Participate Actively in safety programs, particularly with regards to promoting health and safety issues.

• Provide safety orientations for new personnel arriving on site.

• Monitor Occupational health performance. And provide monthly report to HSE manager in regards in occupational health and safety, risk and health assessment of the crew.

• Co-ordinate the safety department and highlight the deficiencies that can result in safety and health hazard.

• Participate in Emergency Drills.

• Activate medivac/HEMS in the event of medical emergencies in the event of accident (trauma) surgical emergencies with following emergency procedures.

• Inspect weekly Eye Wash station, First Aid boxes ect.

• Participate on doing Risk and health Assessment and Accident/Incident Investigation as appropriate.

• Conduct First Aid and Basic life support training(CPR) and Health issue discussion during toolbox safety meeting per request of the Rig manager and safety manger (heat stroke, cardiac arrest ect.)

• Response to emergency situation, Conduct scene size-up and an initial assessment, determine nature and extent of illness or injury, perform physical assessment, acquire a detailed history, establish priority for required emergency (or non-emergency) care, and render appropriate basic care, based on nature, and condition of the patient, in accordance with specified protocol and procedure within clinical scope

• Respond to Emergency calls, use appropriate radio skills, read maps, drive the ambulance safely to and from the scene of injury or illness, using the most expeditious route, with the goal to locate the patient /s in the shortest response time possible

• Follow established departmental policies, procedures and objectives, continuous quality improvement objectives, and safety environmental, and/or infection control standards in the performance of duties

• Review and restock all medical equipment to ensure their completeness and operational readiness at all times, and in compliance with safety and infection control regulations and standards.

• Fully document, and transfer, patient care information and records as per established procedures; complete all checklists, and report all vehicle and equipment defects, damages, and losses, for immediate action, maintenance, or replacement, as necessary

• Participate in continuing medical education and in-service courses for personal growth and development, and for on-going improvement in knowledge and competence.

• Perform other duties as required.

Dec 2009- Dec 2010

1 year

Position: E.R. Triage Nurse / Ambulance Nurse / EMT

Name of Hospital: Royal Commission Hospital

Employers address: KSA, Jubail Industrial City.

Hospital Profile: Tertiary Hospital

Number of Hospital Beds: 200

Unit name: E.R. / Amulance

Type of patients: Urgent/Emergent

Hours worked per week: 48 HRS

Working in E.R./Ambulance Department that provides Hospital and pre-hospital emergency medical care to Victims of: (Road Traffic Accidents (R.T.A.), Cardiac Arrest cases, Acute Respiratory conditions, Burn cases, Drowning cases, House Emergency Calls, Psychiatric cases).

Duties and Responsibilities: E.R. Triange NURSE

Responsible for assigning priorities to the patients arriving in the ER based on the seriousness of their illnesses or injury.

Observed and performed triage; assessed critical nature and severity of patients’ conditions.

Took down and recorded patient vital signs; regularly monitored for changes in status.

Administered necessary treatments and procedures in order to stabilize and improve patient condition.

Provided a variety of treatment depending on the condition; range of procedures could be from administration of medication to first aid.

Charted the patient’s complete medical history, contact information, current condition, and present list of medications.

Duties and Responsibilities: AMBULANCE NURSE/EMT

Received call from dispatcher, responded verbally to emergency calls.

Respond to 997 calls for medical assistance at accidents, emergencies and other related incidents.

Determined nature and extent of illness or injury, took pulse, blood pressure, respiratory rate and visually observed changes in skin color, made determination regarding patient status, established priority for emergency care, and rendered appropriate Basic and Advance emergency care.

Provide C.P.R to cardiac arrest patient and Used suctioning machines

Provide Rescue breathing to respiratory arrest patient.

Used A.E.D and Cardiac monitors.

Assisted in lifting, carrying, and transporting patient to ambulance and on to a medical facility.

Assist with patient care in hospitals or health care centers.

Reassured patients and by-standers, avoided mishandling patient and undue haste.

Transferring of patients from home to hospital and vice versa, And also transferring from our hospital going to different institution.

Apply splints to limbs, dress wounds

Help extricating patients from entrapment, assessed extent of injury, used prescribed techniques and appliances, radios dispatcher for additional assistance or services, provided light rescue service if required, provided additional emergency care following established protocols.

Documentation

Complied with regulations in handling deceased, notified authorities, arranged for protection of property and evidence at scene.

Determined appropriate facility to which patient will be transported, reported nature and extent of injuries or illness to that facility.

Assisted in removing patient from ambulance and into emergency facility.

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